APPLICATION FOR EMPLOYMENT

As a religious institution, Tenacre will apply a religious qualification test when determining eligibility for some positions. However, individuals will be hired, promoted, and transferred without regard to race, color, nationality, national origin, ancestry, sex, age, or disability. PLEASE ANSWER EVERY QUESTION:

Personal

Todays Date


12/13/2018

Name


First Name

Last Name

E-mail

Phone

Address


Street Address 1
 

Street Address Line 2
 

City

State / Province
 

Postal / Zip Code

Country

Position(s) for which you are applying:

Have you applied here before?

YesNo

If so, approximately when?

Have you worked here before?

YesNo

If so, approximately when?

Background & Availability

Are you on lay-off or subject to recall?

YesNo

When are you available to work?

Start date:


12/13/2018

Hours available (include availability to work nights):

Are you able to provide proof of eligibility for employment status in the United States as required by the

Immigration Reform & Control Act, as shown on the I-9?

YesNo

Education

Please indicate the highest grade completed:

6789101314151616+

Degree:

Major field of study:

Institution:

Degree:

Major field of study:

Institution:

Previous Employment: (Current or most recent employer first)

1. Company name and address:

Supervisor:

Phone:

Position:

Duties:

Rate of pay:

Reason for leaving:

Start date:


12/13/2018

End date:


12/13/2018

2. Company name and address:

Supervisor:

Phone:

Position:

Duties:

Rate of pay:

Reason for leaving:

Start date:


12/13/2018

End date:


12/13/2018

3. Company name and address:

Supervisor:

Phone:

Position:

Duties:

Rate of pay:

Reason for leaving:

Start date:


12/13/2018

End date:


12/13/2018

May we contact the above employers for references?

If no, please explain why not:

REFERENCES
Please list the name, contact information, and relationship of four references Tenacre may contact for information about you, including your character and work skills. If you are a Christian Scientist, please provide at least two names and addresses of Christian Scientists, who can attest to your practice of Christian Science. Please notify these references that you have authorized Tenacre to contact them.
REFERENCE 1

Name:

Address:

Work Phone:

Home Phone:

Email

Relationship

REFERENCE 2

Name:

Address:

Work Phone:

Home Phone:

Email

Relationship

REFERENCE 3

Name:

Address:

Work Phone:

Home Phone:

Email

Relationship

Other Information
Please list any special skills, qualifications, requirements, or other information you wish to bring to Tenacre?s attention. You may, but are not obligated, to volunteer information about a protected status.